Asociación entre noveles elevados de lipoproteína(a) (≥50 MG/DL) y la presencia de enfermedad cardiovascular aterosclerótica establecida en adultos de Barranquilla, Colombia
| datacite.rights | http://purl.org/coar/access_right/c_f1cf | |
| dc.contributor.advisor | Urina Triana, Manuel | |
| dc.contributor.advisor | Renowitzky Zabarain, Carlos | |
| dc.contributor.author | Mercado Marchena, Riguey Cecilia | |
| dc.date.accessioned | 2026-02-10T20:05:47Z | |
| dc.date.available | 2026-02-10T20:05:47Z | |
| dc.date.issued | 2026 | |
| dc.description.abstract | Antecedentes: La enfermedad cardiovascular aterosclerótica (ECVA) constituye una causa principal de morbimortalidad. La lipoproteína(a) es un marcador predominantemente genético con propiedades aterogénicas y protrombóticas; el umbral ≥50 mg/dL se usa con frecuencia para definir niveles elevados. En el Caribe colombiano, la evidencia clínica local sobre la frecuencia de Lp(a) elevada y su asociación con ECVA establecida es limitada. Objetivo: Analizar la asociación entre Lp(a) ≥50 mg/dL y la presencia de ECVA establecida en una población adulta atendida en Barranquilla, Colombia. Métodos: Estudio observacional analítico, transversal retrospectivo, realizado en una IPS de cuarto nivel en Barranquilla entre el 01 de enero de 2024 y el 30 de agosto de 2025. Se incluyeron adultos (≥18 años) con medición de Lp(a) y evaluación clínica documentada (n = 492), mediante muestreo no probabilístico por conveniencia. La exposición principal fue Lp(a). | spa |
| dc.description.abstract | Background: Atherosclerotic cardiovascular disease (ASCVD) is a leading cause of morbidity and mortality. Lipoprotein(a) [Lp(a)] is a predominantly genetically determined biomarker with atherogenic and prothrombotic properties; a threshold of ≥50 mg/dL is commonly used to define elevated levels. In the Colombian Caribbean region, local clinical evidence on the frequency of elevated Lp(a) and its association with established ASCVD is limited. Objective: To analyze the association between Lp(a) ≥50 mg/dL and the presence of established ASCVD in an adult population receiving care in Barranquilla, Colombia. Methods: An observational, analytical, retrospective cross-sectional study was conducted at a quaternary-care institution in Barranquilla between January 1, 2024 and August 30, 2025. Adults (≥18 years) with an Lp(a) measurement and documented clinical evaluation were included (n = 492) using non-probabilistic convenience sampling. The primary exposure was Lp(a) | eng |
| dc.format.mimetype | ||
| dc.identifier.uri | https://hdl.handle.net/20.500.12442/17348 | |
| dc.language.iso | spa | |
| dc.publisher | Ediciones Universidad Simón Bolívar | spa |
| dc.publisher | Facultad de Ciencias de la Salud | spa |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | eng |
| dc.rights.accessrights | info:eu-repo/semantics/embargoedAccess | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject | Lipoproteína(a) | spa |
| dc.subject | Enfermedad cardiovascular aterosclerótica | spa |
| dc.subject | Factores de riesgo | spa |
| dc.subject | Estudios transversales | spa |
| dc.subject.keywords | Lipoprotein(a) | eng |
| dc.subject.keywords | Atherosclerotic cardiovascular disease | eng |
| dc.subject.keywords | Risk factors | eng |
| dc.subject.keywords | Cross-sectional studies | eng |
| dc.title | Asociación entre noveles elevados de lipoproteína(a) (≥50 MG/DL) y la presencia de enfermedad cardiovascular aterosclerótica establecida en adultos de Barranquilla, Colombia | spa |
| dc.type.driver | info:eu-repo/semantics/other | |
| dc.type.spa | Otros | |
| dcterms.references | Departamento Administrativo Nacional de Estadística (DANE). Boletín técnico Estadísticas Vitales (EEVV). Defunciones fetales y no fetales. 2023 [Internet]. [cited 2025 Mar 30]. Available from: https://www.dane.gov.co/files/operaciones/EEVV/bolEEVV-Defunciones-IVtrim2023.pdf | spa |
| dcterms.references | Mehta A, Virani SS, Ayers CR, Sun W, Hoogeveen RC, Rohatgi A, et al. Lipoprotein(a) and Family History Predict Cardiovascular Disease Risk. J Am Coll Cardiol. 2020 Aug 18;76(7):781–93. | eng |
| dcterms.references | Palacios C, Morales J, García L, Badiel M, Palacios C, Morales J, et al. Prevalencia y caracterización del riesgo cardiovascular en una población rural. Rev Colomb Cardiol. 2022 Apr;29(2):255–62. | spa |
| dcterms.references | Nordestgaard BG, Langsted A. Lipoprotein(a) and cardiovascular disease. The Lancet. 2024 Sept 28;404(10459):1255–64. | eng |
| dcterms.references | Paré G, Çaku A, McQueen M, Anand SS, Enas E, Clarke R, et al. Lipoprotein(a) Levels and the Risk of Myocardial Infarction Among 7 Ethnic Groups. Circulation. 2019 Mar 19;139(12):1472–82. | eng |
| dcterms.references | Yeang C, Witztum JL, Tsimikas S. Novel method for quantification of lipoprotein(a)- cholesterol: implications for improving accuracy of LDL-C measurements. J Lipid Res. 2021 Feb 24;62:100053. | eng |
| dcterms.references | Amiri M, Raeisi-Dehkordi H, Verkaar AJCF, Wu Y, van Westing AC, Berk KA, et al. Circulating lipoprotein (a) and all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis. Eur J Epidemiol. 2023;38(5):485–99. | eng |
| dcterms.references | Bhatia HS, Wandel S, Willeit P, Lesogor A, Bailey K, Ridker PM, et al. Independence of Lipoprotein(a) and Low-Density Lipoprotein Cholesterol–Mediated Cardiovascular Risk: A Participant-Level Meta-Analysis. Circulation. 2025 Jan 28;151(4):312–21. | eng |
| dcterms.references | Papathanasiou KA, Kazantzis D, Rallidis LS. Lipoprotein(a) is associated with premature coronary artery disease: a meta-analysis. Coron Artery Dis. 2023 June 1;34(4):227–35. | eng |
| dcterms.references | Cardiovascular diseases (CVDs). World Health Organization (WHO) [Internet]. [cited 2025 Mar 30]. Available from: https://www.who.int/news-room/factsheets/detail/cardiovascular-diseases-(cvds) | eng |
| dcterms.references | Tsimikas S. A Test in Context: Lipoprotein(a): Diagnosis, Prognosis, Controversies, and Emerging Therapies. J Am Coll Cardiol. 2017 Feb 14;69(6):692– 711. | eng |
| dcterms.references | Burgess S, Ference BA, Staley JR, Freitag DF, Mason AM, Nielsen SF, et al. Association of LPA Variants With Risk of Coronary Disease and the Implications for Lipoprotein(a)-Lowering Therapies: A Mendelian Randomization Analysis. JAMA Cardiol. 2018 July 1;3(7):619–27. | eng |
| dcterms.references | Clarke R, Peden JF, Hopewell JC, Kyriakou T, Goel A, Heath SC, et al. Genetic Variants Associated with Lp(a) Lipoprotein Level and Coronary Disease. N Engl J Med. 2009 Dec 24;361(26):2518–28. | eng |
| dcterms.references | Arsenault BJ, Boekholdt SM, Dubé MP, Rhéaume É, Wareham NJ, Khaw KT, et al. Lipoprotein(a) Levels, Genotype, and Incident Aortic Valve Stenosis: A Prospective Mendelian Randomization Study and Replication in a Case–Control Cohort. Circ Cardiovasc Genet. 2014 June;7(3):304–10. | eng |
| dcterms.references | Echeverri D, Barón A, León-Galindo J. Consenso Colombiano para el diagnóstico y tratamiento de las dislipidemias en adultos. 2024. Revista Colombiana de Cardiología. ISSN:0120-5633 [Internet]. 2024 [cited 2025 Mar 30];Volumen 31 Suplemento 4. Available from: https://rccardiologia.com/portadas/rcc_24_31_supl4.pdf | spa |
| dcterms.references | Barkas F, Brandts J, De Bacquer D, Jennings C, De Backer GG, Kotseva K, et al. Global Variation in Lipoprotein(a) Levels Among Patients With Coronary Heart Disease. JACC. 2025 June 3;85(21):2028–42. | eng |
| dcterms.references | Libby P. Overview of Lipids and Atherosclerosis. In: Clinical Lipidology: A Companion to Braunwald’s Heart Disease [Internet]. Third Edition. Elsevier; 2024 [cited 2025 Mar 30]. p. 1-15.e2. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9780323882866000017 | eng |
| dcterms.references | Hansson GK, Hermansson A. The immune system in atherosclerosis. Nat Immunol. 2011 Mar;12(3):204–12. | eng |
| dcterms.references | Brieger K, Schiavone S, Jr FJM, Krause KH. Reactive oxygen species: from health to disease. Swiss Med Wkly. 2012 Aug 12;142(3334):w13659–w13659. | eng |
| dcterms.references | Fang JC, O’Gara PT. Historia clínica y exploración física: un abordaje basado en la evidencia. In: Braunwald Tratado de cardiología. 12.a edición. 2023. | spa |
| dcterms.references | Greenland P, Blaha MJ, Budoff MJ, Erbel R, Watson KE. Coronary Calcium Score and Cardiovascular Risk. J Am Coll Cardiol. 2018 July 24;72(4):434–47. | eng |
| dcterms.references | McEvoy JW, McCarthy CP, Bruno RM, Brouwers S, Canavan MD, Ceconi C, et al. 2024 ESC Guidelines for the management of elevated blood pressure and hypertension. Eur Heart J. 2024 Oct 7;45(38):3912–4018. | eng |
| dcterms.references | American Diabetes Association Professional Practice Committee. 10. Cardiovascular Disease and Risk Management: Standards of Care in Diabetes— 2025. Diabetes Care. 2024 Dec 9;48(Supplement_1):S207–38. | eng |
| dcterms.references | National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General [Internet]. Atlanta (GA): Centers for Disease Control and Prevention (US); 2014 [cited 2025 Mar 30]. (Reports of the Surgeon General). Available from: http://www.ncbi.nlm.nih.gov/books/NBK179276/ | eng |
| dcterms.references | Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT. Impact of Physical Inactivity on the World’s Major Non-Communicable Diseases. Lancet. 2012 July 21;380(9838):219–29. | eng |
| dcterms.references | Lloyd-Jones DM, Wilson PWF, Larson MG, Leip E, Beiser A, D’Agostino RB, et al. Lifetime Risk of Coronary Heart Disease by Cholesterol Levels at Selected Ages. Arch Intern Med. 2003 Sept 8;163(16):1966–72. | eng |
| dcterms.references | Khoja A, Andraweera PH, Lassi ZS, Padhani ZA, Ali A, Zheng M, et al. Modifiable and Non-Modifiable Risk Factors for Premature Coronary Heart Disease (PCHD): Systematic Review and Meta-Analysis. Heart Lung Circ. 2024 Mar 1;33(3):265–80. | eng |
| dcterms.references | Rajendran A, Minhas AS, Kazzi B, Varma B, Choi E, Thakkar A, et al. Sexspecific differences in cardiovascular risk factors and implications for cardiovascular disease prevention in women. Atherosclerosis. 2023 Nov;384:117269. | eng |
| dcterms.references | Bergami M, Scarpone M, Cenko E, Varotti E, Amaduzzi PL, Manfrini O. Gender Differences in Non-Obstructive Coronary Artery Disease. Curr Pharm Des. 2021;27(29):3198–209. | eng |
| dcterms.references | Vrints C, Andreotti F, Koskinas KC, Rossello X, Adamo M, Ainslie J, et al. 2024 ESC Guidelines for the management of chronic coronary syndromes. Eur Heart J. 2024 Sept 29;45(36):3415–537. | eng |
| dcterms.references | Ridker PM, Danielson E, Fonseca FAH, Genest J, Gotto AM, Kastelein JJP, et al. Rosuvastatin to Prevent Vascular Events in Men and Women with Elevated C- Reactive Protein. N Engl J Med. 2008 Nov 20;359(21):2195–207. | eng |
| dcterms.references | Mora S, Libby P, Ridker PM. Prevención primaria de las enfermedades cardiovasculares. In: Braunwald Tratado de cardiología. 12.a edición. 2023. | spa |
| dcterms.references | Boffa, MB, Koschinsky, ML, Marcovina SM. Lipoprotein(a) in Cardiovascular Risk Assessment. In: Clinical Lipidology: A Companion to Braunwald’s Heart Disease [Internet]. Third Edition. Elsevier; 2024 [cited 2025 Mar 30]. p. 42-53.e1. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9780323882866000054 | eng |
| dcterms.references | Visseren FLJ, Mach F, Smulders YM, Carballo D, Koskinas KC, Bäck M, et al. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J. 2021 Sept 7;42(34):3227–337. | eng |
| dcterms.references | Boffa MB, Koschinsky ML. Lipoprotein (a): truly a direct prothrombotic factor in cardiovascular disease? J Lipid Res. 2016 May;57(5):745–57. | eng |
| dcterms.references | The Emerging Risk Factors Collaboration*. Lipoprotein(a) Concentration and the Risk of Coronary Heart Disease, Stroke, and Nonvascular Mortality. JAMA. 2009 July 22;302(4):412–23. | eng |
| dcterms.references | Kronenberg F, Mora S, Stroes ESG. Consensus and guidelines on lipoprotein(a) - Seeing the forest through the trees. Curr Opin Lipidol. 2022 Dec 1;33(6):342–52. | eng |
| dcterms.references | Tsimikas S, Brilakis ES, Miller ER, McConnell JP, Lennon RJ, Kornman KS, et al. Oxidized Phospholipids, Lp(a) Lipoprotein, and Coronary Artery Disease. N Engl J Med. 2005 July 7;353(1):46–57. | eng |
| dcterms.references | Viney NJ, van Capelleveen JC, Geary RS, Xia S, Tami JA, Yu RZ, et al. Antisense oligonucleotides targeting apolipoprotein(a) in people with raised lipoprotein(a): two randomised, double-blind, placebo-controlled, dose-ranging trials. The Lancet. 2016 Nov 5;388(10057):2239–53. | eng |
| dcterms.references | Kronenberg F, Mora S, Stroes ESG, Ference BA, Arsenault BJ, Berglund L, et al. Lipoprotein(a) in atherosclerotic cardiovascular disease and aortic stenosis: a European Atherosclerosis Society consensus statement. Eur Heart J. 2022 Oct 14;43(39):3925–46. | eng |
| dcterms.references | Grundy SM, Stone NJ, Bailey AL, Beam C, Birtcher KK, Blumenthal RS, et al. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019 June 18;139(25):e1082–143. | eng |
| dcterms.references | Koschinsky ML, Bajaj A, Boffa MB, Dixon DL, Ferdinand KC, Gidding SS, et al. A focused update to the 2019 NLA scientific statement on use of lipoprotein(a) in clinical practice. J Clin Lipidol. 2024 May 1;18(3):e308–19. | eng |
| dcterms.references | Averna M, Cefalù AB. LP(a): The new marker of high cardiovascular risk. Nutr Metab Cardiovasc Dis [Internet]. 2025 Mar 1 [cited 2025 Apr 5];35(3). Available from: https://www.nmcd-journal.com/article/S0939-4753(24)00479-4/fulltext | eng |
| dcterms.references | The AIM-HIGH Investigators. Niacin in Patients with Low HDL Cholesterol Levels Receiving Intensive Statin Therapy. N Engl J Med. 2011 Dec 15;365(24):2255–67. | eng |
| dcterms.references | van Capelleveen JC, van der Valk FM, Stroes ESG. Current therapies for lowering lipoprotein (a). J Lipid Res. 2016 Sept;57(9):1612–8. | eng |
| dcterms.references | Nicholls SJ, Nissen SE, Fleming C, Urva S, Suico J, Berg PH, et al. Muvalaplin, an Oral Small Molecule Inhibitor of Lipoprotein(a) Formation. JAMA. 2023 Sept 19;330(11):1042–53. | eng |
| dcterms.references | Nicholls SJ, Ni W, Rhodes GM, Nissen SE, Navar AM, Michael LF, et al. Oral Muvalaplin for Lowering of Lipoprotein(a): A Randomized Clinical Trial. JAMA. 2025 Jan 21;333(3):222–31. | eng |
| dcterms.references | Yeang C, Karwatowska-Prokopczuk E, Su F, Dinh B, Xia S, Witztum JL, et al. Effect of Pelacarsen on Lipoprotein(a) Cholesterol and Corrected Low-Density Lipoprotein Cholesterol. J Am Coll Cardiol. 2022 Mar 22;79(11):1035–46. | eng |
| dcterms.references | O’Donoghue ML, Rosenson RS, Gencer B, López JAG, Lepor NE, Baum SJ, et al. Small Interfering RNA to Reduce Lipoprotein(a) in Cardiovascular Disease. N Engl J Med. 2022 Nov 16;387(20):1855–64. | eng |
| dcterms.references | Nissen SE, Linnebjerg H, Shen X, Wolski K, Ma X, Lim S, et al. Lepodisiran, an Extended-Duration Short Interfering RNA Targeting Lipoprotein(a): A Randomized Dose-Ascending Clinical Trial. JAMA. 2023 Dec 5;330(21):2075–83. | eng |
| dcterms.references | Nissen SE, Wang Q, Nicholls SJ, Navar AM, Ray KK, Schwartz GG, et al. Zerlasiran-A Small-Interfering RNA Targeting Lipoprotein(a): A Phase 2 Randomized Clinical Trial. JAMA. 2024 Dec 17;332(23):1992–2002. | eng |
| dcterms.references | Maranhão RC, Carvalho PO, Strunz CC, Pileggi F. Lipoprotein (a): Structure, Pathophysiology and Clinical Implications. Arq Bras Cardiol. 2014 July;103(1):76– 84. | eng |
| dcterms.references | Cardoso-Saldaña GC, González-Salazar MDC, Posadas-Sánchez R, Vargas-Alarcón G. [Metabolic syndrome, lipoprotein(a) and subclinical atherosclerosis in Mexican population]. Arch Cardiol Mex. 2021 June 1;91(3):307– 14. | eng |
| dcterms.references | Torres J, Barquera D, Mendez E, Toy B, et al. Registro mexicano de Hipercolesterolemia Familiar. FH México. Nov 2023. No 8. Disponible en: https://www.fhmexico.org.mx/docs/Boletín_Informativo_No_8.pdf [Internet]. [cited 2025 Apr 6]. Available from: https://www.fhmexico.org.mx/docs/Bolet%C3%ADn_Informativo_No_8.pdf | spa |
| dcterms.references | Cardoso-Saldaña G, Fragoso JM, Lale-Farjat S, Torres-Tamayo M, Posadas- Romero C, Vargas-Alarcón G, et al. The rs10455872-G allele of the LPA gene is associated with high lipoprotein(a) levels and increased aortic valve calcium in a Mexican adult population. Genet Mol Biol. 2019;42(3):519–25. | eng |
| dcterms.references | Santos PC, Bueno CT, Lemos PA, Krieger JE, Pereira AC. LPA rs10455872 polymorphism is associated with coronary lesions in Brazilian patients submitted to coronary angiography. Lipids Health Dis. 2014 Apr 29;13:74. | eng |
| dcterms.references | Muñoz MG de, Rivera CH, Quintero SC, Alvarado M, Torres AL. Niveles de lipoproteína (a) y perfil lipídico en un grupo de individuos sanos de Bogotá D.C. Acta Médica Colomb. 2002;27(3):151–7. | spa |
| dcterms.references | Campos-Del Valle C, Urina-Triana M. Lipoproteína (a) LP(a) como posible factor de riesgo cardiovascular en pacientes mayores de 40 años en un centro de salud de la ciudad de Barranquilla, Colombia. 2025 [cited 2025 Apr 3];(Publisher: Ediciones Universidad Simón Bolívar). Available from: https://hdl.handle.net/20.500.12442/16197 | spa |
| dcterms.references | Colmenares-Mejía CC, Godoy-Corredor M, Morales-Mendoza E, PintoPinzón DA, Rozo-Vanstrahlen JM, Acuña-Olmos J, et al. Real-world data lipid profiles in one million colombian adults: The LiPAC million person study. Atheroscler Plus. 2024 Dec 1;58:51–8. | eng |
| dcterms.references | Calvo-Muñoz H. Lipoproteína (a) y riesgo cardiovascular – SCC – Sociedad Colombiana de Cardiología y Cirugía Cardiovascular [Internet]. 2022 [cited 2025 Apr 4]. Available from: https://scc.org.co/lipoproteina-a-y-riesgo-cardiovascular/ | spa |
| dcterms.references | Reyes-Soffer G, Ginsberg HN, Berglund L, Duell PB, Heffron SP, Kamstrup PR, et al. Lipoprotein(a): A Genetically Determined, Causal, and Prevalent Risk Factor for Atherosclerotic Cardiovascular Disease: A Scientific Statement From the American Heart Association. Arterioscler Thromb Vasc Biol. 2022 Jan;42(1):e48– 60. | eng |
| dcterms.references | Enas EA, Varkey B, Dharmarajan TS, Pare G, Bahl VK. Lipoprotein(a): An underrecognized genetic risk factor for malignant coronary artery disease in young Indians. Indian Heart J. 2019;71(3):184–98. | eng |
| dcterms.references | Pearson GJ, Thanassoulis G, Anderson TJ, Barry AR, Couture P, Dayan N, et al. 2021 Canadian Cardiovascular Society Guidelines for the Management of Dyslipidemia for the Prevention of Cardiovascular Disease in Adults. Can J Cardiol. 2021 Aug 1;37(8):1129–50. | eng |
| dcterms.references | O’Donoghue ML, Fazio S, Giugliano RP, Stroes ESG, Kanevsky E, GouniBerthold I, et al. Lipoprotein(a), PCSK9 Inhibition, and Cardiovascular Risk. Circulation. 2019 Mar 19;139(12):1483–92. | eng |
| dcterms.references | DANE - Censo Nacional de Población y Vivienda 2018 [Internet]. [cited 2025 Mar 30]. Available from: https://www.dane.gov.co/index.php/estadisticas-portema/demografia-y-poblacion/censo-nacional-de-poblacion-y-vivenda-2018 | spa |
| oaire.version | info:eu-repo/semantics/acceptedVersion | |
| sb.programa | Especialización en Cardiología | spa |
| sb.sede | Sede Barranquilla | spa |
Archivos
Bloque de licencias
1 - 1 de 1
No hay miniatura disponible
- Nombre:
- license.txt
- Tamaño:
- 2.93 KB
- Formato:
- Item-specific license agreed upon to submission
- Descripción:

